| NPI | 1871116673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901600868) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013351A) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2021-07-01 |